| NPI | 1205880747 | 
|---|---|
| Doing Business As | ELEVATE FUNCTIONAL MEDICINE | 
| Entity Type | Organization | 
| Authorized Contact | RIZAN A HAJAL Owner/Operator 605-271-2700  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease | 
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology | 
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SD 5028)  | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: SD 5028)  | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SD 5028)  | |
| Enumeration Date | 2006-05-20 | 
| Last Update Date | 2021-04-22 |